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Leading Physician Warns There’s “Reason to Be Worried” About Trump’s Cognitive Health

Dr. Vin Gupta, a public health physician and former Amazon chief medical officer, warned that President Trump’s reduced public schedule and onstage behavior suggest "reason to be worried" about age-related cognitive decline. A recent analysis found a roughly 39% drop in public engagements compared with his first term. Gupta pointed to moments of apparent disengagement, questioned explanations about an October imaging procedure, and cited the president’s aversion to exercise as a risk factor. The White House denies any health concerns and the president has publicly dismissed the criticism.

10:30 PM, 11/27/2025Health
Leading Physician Warns There’s “Reason to Be Worried” About Trump’s Cognitive Health

A prominent public health physician has warned there is "reason to be worried" about President Donald Trump’s cognitive health and overall energy level. A recent analysis of his public schedule found 1,029 engagements in the first 10 months of his current term, down from 1,688 in the same period of his first term — a decline of roughly 39 percent.

Dr. Vin Gupta, who previously served as chief medical officer at Amazon, told a podcast that Mr. Trump appears to be slowing down and that "clearly something is happening" to his mental acuity. "Clearly they're not getting MRIs just because that's the moment we live in," Gupta said. "There’s a reason, and they’re worried. Frankly, piecing this all together, there’s a reason to be worried based on his public performance."

"It is clear there is age-related cognitive decline, that’s obvious," Gupta said, citing recent public moments he believes are consistent with slowing and fatigue.

Gupta questioned the president’s explanation about an October imaging procedure at Walter Reed, calling the account that Mr. Trump did not know which part of his body had been scanned "utter nonsense." He also pointed to a widely circulated image from an Oval Office event in which the president appeared disengaged after a guest fainted during a presentation on weight-loss drugs.

The physician described repeated episodes in which Mr. Trump sometimes appears "confused a lot" and "mumbles incoherent nonsense" while taking questions from reporters. Gupta also urged readers to consider how differently the public and media might react if another president displayed similar behavior.

Exercise and cognitive risk

Gupta highlighted Mr. Trump’s long-reported aversion to physical exercise as a concern. He noted prior presidents who regularly incorporated physical activity into their daily routines and observed that regular exercise can help guard against the onset of cognitive decline.

The White House has repeatedly defended the president’s health. On Nov. 4, Press Secretary Karoline Leavitt told reporters that "as you all know because you are all witness to it every single day, the president is in optimal physical health." Following the analysis of his reduced public workload, Mr. Trump posted a forceful rebuttal on Truth Social, calling the coverage a "hit piece" and rejecting suggestions that he is losing energy.

This report summarizes public statements and observations by medical professionals and the president’s team. It does not substitute for a medical evaluation and reflects commentary based on public events and statements.

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